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CASE REPORT
Year : 2020  |  Volume : 27  |  Issue : 3  |  Page : 242-247

Management of a giant prostatic enlargement: Case report and review of the literature


1 Department of Surgery, Urology Unit, College of Medicine, University of Lagos; Department of Surgery, Urology Unit, Lagos University Teaching Hospital, Idi-Araba, Surulere, Lagos, Nigeria
2 Department of Surgery, Urology Unit, Lagos University Teaching Hospital, Idi-Araba, Surulere, Lagos, Nigeria

Correspondence Address:
Dr. Rufus Wale Ojewola
Department of Surgery, Urology Unit, College of Medicine, University of Lagos, PMB 12003, Idi-Araba, Surulere, Lagos
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/npmj.npmj_69_20

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Giant prostatic enlargement often referred to as giant prostatic hyperplasia (GPH) is a rare condition described as a massive prostatic enlargement >500 g. Up until now, the total number of GPH reported worldwide in medical literature is < 30. To the best of our knowledge, only one case of a giant prostate has been reported in Nigeria. We report a case of a giant prostatic enlargement treated by open simple retropubic prostatectomy in a 73-year-old man who was suffering from lower urinary tract symptoms and persistent visible (gross) haematuria necessitating repeated blood transfusions. Transrectal ultrasound (TRUS) scan revealed a markedly enlarged prostate measuring 565 ml with a suspicious nodule and prostate-specific antigen level of 48.5 ng/ml. He had a 20-core TRUS-guided prostatic biopsy which showed benign prostatic hyperplasia. We performed a retropubic open simple prostatectomy for complete enucleation of the adenoma. Specimen weighed 512.5 g with dimensions of 17 cm × 16 cm and a volume of 528 ml. Histological examination showed prostatic fibromuscular hyperplasia with a focus of adenocarcinoma. The patient had an uneventful post-operative recovery and was discharged within a week post-surgery. Urethral catheter was removed after 2 weeks with satisfactory outcome.


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